Polly beak again after second rhinoplasty. Why is the happening? (Photo)

Question

I had my first rhinoplasty in 2008 which resulted in a pollybeak deformity. In September 2018, I had a revision. The surgeon removed the scar tissue and a small amount of cartilage. We were off to a great start until June 2019. Now it appears to be reforming again! Please help! I receive Kenalog injections, the swelling goes down and in 8 weeks it's back again. Why is this happening again?!!

Thomas A. Mustoe, MD, FACS · Answer

Supratip swelling (Polly beak) is not completely under a surgeon’s control.  Different people heal with more scar tissue than others in the nose as well as in other cases on the skin.  Steroid injections suppress scar tissue and can be very beneficial sometimes even requiring monthly injections.  In most cases the need for injections gradually diminishes over many months but there is a small subset of patients in which postoperative scar tissue ever fully resolves.  Continue to follow closely with your surgeon. It sounds like you are on the right track.

Kailash Narasimhan, MD · Answer

Pollybeack or swelling around the tip  can last for several months. It often requires several steroid injections. Massage and taping can also help in the early stages. The skin of the tip also may just be taking longer to heal and contract. Kailash Narasimhan, MDNpstampabay.com

Polly beak again after second rhinoplasty. Why is the happening? (Photo)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

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Polly beak again after second rhinoplasty. Why is the happening? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.